CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Bob Wilson Memorial Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $226
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Bob Wilson Memorial Hospital is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.25x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$226

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Insurance Median: $226 (125%)
Ins. Median: $226 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $226 125%

Consumer Guidance & Cost Commentary

For this psychiatric evaluation at Bob Wilson Memorial Hospital in Ulysses, Kansas, the negotiated rate is $226.00, which is 20% higher than the Medicare benchmark of $181.34. While this facility is a Critical Access Hospital owned by a voluntary non-profit church, there is no available cash or median paid data to compare against state or county averages. Because commercial negotiated rates often include administrative overhead and contract premiums, patients should verify if their specific insurance plan allows for a lower allowed amount before scheduling. It is important to note that cash-pay options may sometimes be more cost-effective for those with high-deductible plans if the negotiated rate exceeds the cash price, though current data does not confirm a specific cash rate for this service.

To minimize potential costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount when paid in full upfront. These discounts bypass the administrative costs associated with insurance claims processing and provide immediate liquidity to the facility. If you are concerned about balance billing, remember that the No Surprises Act protects you from being billed for out-of-network services at in-network facilities, but you should still request a full itemized bill to ensure no unbundled codes or services not rendered are included. Always check your deductible status before using insurance, as paying out-of-pocket without meeting your deductible could result in higher out-of-pocket expenses than expected.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals